HSGHSL REFEREE EVALUATION FORM 

Referee Name   _______________________________________

Asst Referee #1     _______________________________________
Asst Referee #2     _______________________________________

Date ____________   Time _________
Field Location _______________________________________

Visiting Club/Team  _____________________    Score     _________ 
Home Club/Team _____________________    Score     _________ 

Evaluator Name _______________________________________
Evaluator Position  _______________________________________

           * * * * * REFEREE EVALUATION ONLY * * * *
                                
Indicate/Circle Rating Scale of  5=Excellent,  4=Very Good,  3=Good,  2=Fair,  1=Poor

Pre-Game            ___  5         4         3         2         1
Attitude            ___  5         4         3         2         1
Appearance          ___  5         4         3         2         1
Positioning         ___  5         4         3         2         1
Signals             ___  5         4         3         2         1
Game Control        ___  5         4         3         2         1
Accuracy of Calls   ___  5         4         3         2         1

Overall Rating      ___  5         4         3         2         1


Specific Comments: __________________________________________
___________________________________________________________
___________________________________________________________

Comments on Asst Referees: ___________________________________
___________________________________________________________

Indicate All Cards Issued With Card Color, Player Name, Team, Jersey Number, and Offense:
____________________________________________________________
____________________________________________________________
____________________________________________________________

Please e-mail completed form to the HSGHSL co-directors and to your club referee coordinator.